{
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    "item_count": 47,
    "counts_by_type": {
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        "header": 1,
        "heading": 3,
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        "list_item": 28,
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            "type": "header",
            "bbox": {
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            },
            "text": "Q's on Fire Retirement Form October 2024",
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            },
            "level": 2
        },
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            "type": "text",
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                "l": 69.1061,
                "t": 770.64,
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            },
            "text": "Last date of service *\nDrop down calendar (dd/mm/yyyy)"
        },
        {
            "id": "p3.3",
            "order": 3,
            "type": "text",
            "bbox": {
                "l": 70.0659,
                "t": 716.64,
                "r": 325.8543,
                "b": 678.96
            },
            "text": "Pay retirement benefits from\nDrop down calendar (dd/mm/yyyy)"
        },
        {
            "id": "p3.4",
            "order": 4,
            "type": "heading",
            "bbox": {
                "l": 69.8259,
                "t": 661.44,
                "r": 183.563,
                "b": 646.32
            },
            "text": "Type of Retirement $ * $",
            "attrs": {
                "block_label": "paragraph_title"
            },
            "level": 3
        },
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            "id": "p3.5",
            "order": 5,
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            "bbox": {
                "l": 50.8697,
                "t": 642.72,
                "r": 516.108584,
                "b": 529.68
            },
            "text": "",
            "attrs": {
                "item_count": 9
            },
            "children": [
                {
                    "id": "p3.5.1",
                    "order": 6,
                    "type": "list_item",
                    "bbox": {
                        "l": 51.3496,
                        "t": 642.72,
                        "r": 260.5875,
                        "b": 628.08
                    },
                    "text": "Early (50/25) Maximum Lump Sum",
                    "marker": "•"
                },
                {
                    "id": "p3.5.2",
                    "order": 7,
                    "type": "list_item",
                    "bbox": {
                        "l": 51.3496,
                        "t": 627.84,
                        "r": 262.5071,
                        "b": 613.68
                    },
                    "text": "Early (50/25) Restricted Lump Sum",
                    "marker": "•"
                },
                {
                    "id": "p3.5.3",
                    "order": 8,
                    "type": "list_item",
                    "bbox": {
                        "l": 51.3496,
                        "t": 613.92,
                        "r": 233.233,
                        "b": 599.76
                    },
                    "text": "Employer Initiated Retirement",
                    "marker": "•"
                },
                {
                    "id": "p3.5.4",
                    "order": 9,
                    "type": "list_item",
                    "bbox": {
                        "l": 51.5896,
                        "t": 600,
                        "r": 178.524,
                        "b": 586.8
                    },
                    "text": "Ordinary (30 Years)",
                    "marker": "•"
                },
                {
                    "id": "p3.5.5",
                    "order": 10,
                    "type": "list_item",
                    "bbox": {
                        "l": 72,
                        "t": 584.256,
                        "r": 425.520838,
                        "b": 573
                    },
                    "text": "Partial Retirement (2015 Scheme only)",
                    "marker": "-"
                },
                {
                    "id": "p3.5.6",
                    "order": 11,
                    "type": "list_item",
                    "bbox": {
                        "l": 50.8697,
                        "t": 579.72,
                        "r": 281.4633,
                        "b": 572.4
                    },
                    "text": "Permanent Lower Tier III Health PLUS Injury on Duty",
                    "marker": "-",
                    "attrs": {
                        "bbox_estimated": true
                    }
                },
                {
                    "id": "p3.5.7",
                    "order": 12,
                    "type": "list_item",
                    "bbox": {
                        "l": 72,
                        "t": 570.4559999999999,
                        "r": 516.108584,
                        "b": 559.1999999999999
                    },
                    "text": "Permanent Ill Health (Lower Tier)",
                    "marker": "•"
                },
                {
                    "id": "p3.5.8",
                    "order": 13,
                    "type": "list_item",
                    "bbox": {
                        "l": 108,
                        "t": 556.656,
                        "r": 450.876705,
                        "b": 545.4
                    },
                    "text": "Degree of disablement *",
                    "marker": "•"
                },
                {
                    "id": "p3.5.9",
                    "order": 14,
                    "type": "list_item",
                    "bbox": {
                        "l": 50.8697,
                        "t": 545.76,
                        "r": 250.5095,
                        "b": 529.68
                    },
                    "text": "Permanent Ill Health (Upper Tier)",
                    "marker": "•"
                }
            ]
        },
        {
            "id": "p3.6",
            "order": 15,
            "type": "text",
            "bbox": {
                "l": 331.1333,
                "t": 643.2,
                "r": 555.488,
                "b": 611.52
            },
            "text": "• Permanent Lower Tier Ill Health PLUS\nInjury on Duty"
        },
        {
            "id": "p3.7",
            "order": 16,
            "type": "list",
            "bbox": {
                "l": 331.3732,
                "t": 613.92,
                "r": 554.243959,
                "b": 543.84
            },
            "text": "",
            "attrs": {
                "item_count": 4
            },
            "children": [
                {
                    "id": "p3.7.1",
                    "order": 17,
                    "type": "list_item",
                    "bbox": {
                        "l": 366.886,
                        "t": 613.92,
                        "r": 518.2955,
                        "b": 600.24
                    },
                    "text": "Degree of disablement [p3.7.1.1]",
                    "marker": "•",
                    "children": [
                        {
                            "id": "p3.7.1.1",
                            "order": 18,
                            "type": "formula",
                            "bbox": {
                                "l": 366.886,
                                "t": 613.92,
                                "r": 518.2955,
                                "b": 600.24
                            },
                            "text": "^{*}",
                            "attrs": {
                                "latex": "^{*}",
                                "inline": true,
                                "text_offset": 22,
                                "text_span": 10,
                                "bbox_estimated": true,
                                "notation": "latex",
                                "alt": "to the power of *",
                                "mathml": "<math aria-label=\"to the power of *\" xmlns=\"http://www.w3.org/1998/Math/MathML\" display=\"inline\"><mrow><msup><mi /><mrow><mo>&#x0002A;</mo></mrow></msup></mrow></math>"
                            }
                        }
                    ]
                },
                {
                    "id": "p3.7.2",
                    "order": 19,
                    "type": "list_item",
                    "bbox": {
                        "l": 351.3603,
                        "t": 598.0559999999999,
                        "r": 554.243959,
                        "b": 586.8
                    },
                    "text": "Permanent Upper Tier III Health PLUS Injury on Duty",
                    "marker": "•"
                },
                {
                    "id": "p3.7.3",
                    "order": 20,
                    "type": "list_item",
                    "bbox": {
                        "l": 387.3603,
                        "t": 611.856,
                        "r": 516.108584,
                        "b": 600.5999999999999
                    },
                    "text": "Degree of disablement *",
                    "marker": "•"
                },
                {
                    "id": "p3.7.4",
                    "order": 21,
                    "type": "list_item",
                    "bbox": {
                        "l": 331.3732,
                        "t": 558.72,
                        "r": 453.5086,
                        "b": 543.84
                    },
                    "text": "Voluntary (Age 55)",
                    "marker": "•"
                }
            ]
        },
        {
            "id": "p3.8",
            "order": 22,
            "type": "heading",
            "bbox": {
                "l": 69.346,
                "t": 510,
                "r": 523.3345,
                "b": 494.88
            },
            "text": "Extra contributions - Were there any contributions outstanding at the date of leaving?",
            "attrs": {
                "block_label": "paragraph_title"
            },
            "level": 3
        },
        {
            "id": "p3.9",
            "order": 23,
            "type": "text",
            "bbox": {
                "l": 105.0988,
                "t": 490.8,
                "r": 273.5449,
                "b": 476.88
            },
            "text": "No – Move onto next question"
        },
        {
            "id": "p3.10",
            "order": 24,
            "type": "text",
            "bbox": {
                "l": 105.5787,
                "t": 476.64,
                "r": 269.7056,
                "b": 463.44
            },
            "text": "Yes – Further question below"
        },
        {
            "id": "p3.11",
            "order": 25,
            "type": "list",
            "bbox": {
                "l": 122.1354,
                "t": 463.68,
                "r": 453.9885,
                "b": 435.12
            },
            "text": "",
            "attrs": {
                "item_count": 2
            },
            "children": [
                {
                    "id": "p3.11.1",
                    "order": 26,
                    "type": "list_item",
                    "bbox": {
                        "l": 122.1354,
                        "t": 463.68,
                        "r": 453.9885,
                        "b": 449.28
                    },
                    "text": "Please give details of the outstanding contributions here £"
                },
                {
                    "id": "p3.11.2",
                    "order": 27,
                    "type": "list_item",
                    "bbox": {
                        "l": 123.0952,
                        "t": 448.8,
                        "r": 361.6071,
                        "b": 435.12
                    },
                    "text": "How are these arrears being recovered?",
                    "marker": "•"
                }
            ]
        },
        {
            "id": "p3.12",
            "order": 28,
            "type": "text",
            "bbox": {
                "l": 69.1061,
                "t": 414.48,
                "r": 480.8631,
                "b": 399.12
            },
            "text": "Please provide any strike information that has not yet been notified to WYPF."
        },
        {
            "id": "p3.13",
            "order": 29,
            "type": "list",
            "bbox": {
                "l": 86.3826,
                "t": 395.28,
                "r": 288.6618,
                "b": 298.08
            },
            "text": "",
            "attrs": {
                "item_count": 7
            },
            "children": [
                {
                    "id": "p3.13.1",
                    "order": 30,
                    "type": "list_item",
                    "bbox": {
                        "l": 86.3826,
                        "t": 395.28,
                        "r": 256.5083,
                        "b": 379.68
                    },
                    "text": "Date of strike (dd/mm/yyyy)"
                },
                {
                    "id": "p3.13.2",
                    "order": 31,
                    "type": "list_item",
                    "bbox": {
                        "l": 87.3424,
                        "t": 380.4,
                        "r": 191.4814,
                        "b": 367.43999999999994
                    },
                    "text": "Hours on strike"
                },
                {
                    "id": "p3.13.3",
                    "order": 32,
                    "type": "list_item",
                    "bbox": {
                        "l": 87.1024,
                        "t": 367.2,
                        "r": 183.0831,
                        "b": 353.64
                    },
                    "text": "Add another?",
                    "marker": "•"
                },
                {
                    "id": "p3.13.4",
                    "order": 33,
                    "type": "list_item",
                    "bbox": {
                        "l": 123.5751,
                        "t": 353.28,
                        "r": 185.0027,
                        "b": 339.84
                    },
                    "text": "No/Yes",
                    "marker": "•"
                },
                {
                    "id": "p3.13.5",
                    "order": 34,
                    "type": "list_item",
                    "bbox": {
                        "l": 86.8625,
                        "t": 339.84,
                        "r": 253.8688,
                        "b": 325.92
                    },
                    "text": "Total number of days strike",
                    "marker": "•"
                },
                {
                    "id": "p3.13.6",
                    "order": 35,
                    "type": "list_item",
                    "bbox": {
                        "l": 86.8625,
                        "t": 325.68,
                        "r": 288.6618,
                        "b": 310.32
                    },
                    "text": "Strike contributions being repaid?",
                    "marker": "•"
                },
                {
                    "id": "p3.13.7",
                    "order": 36,
                    "type": "list_item",
                    "bbox": {
                        "l": 123.3351,
                        "t": 311.28,
                        "r": 185.2427,
                        "b": 298.08
                    },
                    "text": "No/Yes",
                    "marker": "•"
                }
            ]
        },
        {
            "id": "p3.14",
            "order": 37,
            "type": "text",
            "bbox": {
                "l": 68.8661,
                "t": 276.72,
                "r": 522.1348,
                "b": 247.2
            },
            "text": "Please provide strike information based on strike only in the last 12 months up to the last day of employment/active membership."
        },
        {
            "id": "p3.15",
            "order": 38,
            "type": "list",
            "bbox": {
                "l": 86.8625,
                "t": 242.4,
                "r": 261.0674,
                "b": 214.32
            },
            "text": "",
            "attrs": {
                "item_count": 2
            },
            "children": [
                {
                    "id": "p3.15.1",
                    "order": 39,
                    "type": "list_item",
                    "bbox": {
                        "l": 86.8625,
                        "t": 242.4,
                        "r": 258.9078,
                        "b": 228.48
                    },
                    "text": "Total number of hours strike",
                    "marker": "•"
                },
                {
                    "id": "p3.15.2",
                    "order": 40,
                    "type": "list_item",
                    "bbox": {
                        "l": 87.3424,
                        "t": 228.48,
                        "r": 261.0674,
                        "b": 214.32
                    },
                    "text": "Pay lost due to strike £",
                    "marker": "•"
                }
            ]
        },
        {
            "id": "p3.16",
            "order": 41,
            "type": "heading",
            "bbox": {
                "l": 69.346,
                "t": 193.68,
                "r": 225.0746,
                "b": 179.04
            },
            "text": "Additional Pension Benefits [p3.16.1]",
            "attrs": {
                "block_label": "paragraph_title"
            },
            "children": [
                {
                    "id": "p3.16.1",
                    "order": 42,
                    "type": "text",
                    "bbox": {
                        "l": 69.346,
                        "t": 193.68,
                        "r": 225.0746,
                        "b": 179.04
                    },
                    "text": "^{*}",
                    "attrs": {
                        "inline": true,
                        "text_offset": 28,
                        "text_span": 9,
                        "bbox_estimated": true
                    }
                }
            ],
            "level": 3
        },
        {
            "id": "p3.17",
            "order": 43,
            "type": "list",
            "bbox": {
                "l": 86.6225,
                "t": 174.72,
                "r": 518.0556,
                "b": 76.56
            },
            "text": "",
            "attrs": {
                "item_count": 4
            },
            "children": [
                {
                    "id": "p3.17.1",
                    "order": 44,
                    "type": "list_item",
                    "bbox": {
                        "l": 86.6225,
                        "t": 174.72,
                        "r": 501.259,
                        "b": 148.8
                    },
                    "text": "Was member in receipt of Long Service Increment (LSI) at 30 June 2007?\nNo/Yes"
                },
                {
                    "id": "p3.17.2",
                    "order": 45,
                    "type": "list_item",
                    "bbox": {
                        "l": 87.3424,
                        "t": 146.64,
                        "r": 267.3061,
                        "b": 132.96
                    },
                    "text": "Is member in receipt of CPD?",
                    "marker": "•"
                },
                {
                    "id": "p3.17.3",
                    "order": 46,
                    "type": "list_item",
                    "bbox": {
                        "l": 123.3351,
                        "t": 131.52,
                        "r": 162.2073,
                        "b": 119.39999999999998
                    },
                    "text": "No",
                    "marker": "•"
                },
                {
                    "id": "p3.17.4",
                    "order": 47,
                    "type": "list_item",
                    "bbox": {
                        "l": 122.6153,
                        "t": 119.04,
                        "r": 518.0556,
                        "b": 76.56
                    },
                    "text": "Yes - Total pension contributions relating to the CPD payment (Employee, Employer & Notional III Health percentages) from 1 July to date of leaving £",
                    "marker": "-"
                }
            ]
        }
    ],
    "excluded_furniture": {
        "first": [],
        "last": []
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}